Serious complications of tuberculous epididymitis

Tuberculous epididymitis is a rare entity associated with minor complicatio ns. We present two cases of tuberculous epididymitis associated with seriou s complications (bilateral psoas abscesses and Addison's disease with psoas abscess). A review of the literature disclosed six additional cases associ ated with serious complications (Addison's disease, inappropriate antidiure tic hormone secretion, central nervous system involvement) which are discus sed and compared to these cases. We conclude that tuberculous epididymitis represents a grave sequela of genital tract involvement and may be associat ed with serious and even fatal complications.